Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.27 / $4,771.00 / $9,539.00	Facility		$1,548.27	$4,771.00	$9,539.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,315.54 / $1,548.27 / $2,099.86	Professional		$1,315.54	$1,548.27	$2,099.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,524.00 / $22,312.00 / $37,718.00	Facility		$12,524.00	$22,312.00	$37,718.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,266.28 / $1,612.20 / $2,247.09	Professional		$1,266.28	$1,612.20	$2,247.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,694.12 / $1,839.67 / $3,587.36	Professional		$1,694.12	$1,839.67	$3,587.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,381.61 / $1,869.28 / $3,194.66	Professional		$1,381.61	$1,869.28	$3,194.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,302.20 / $1,562.64 / $1,927.26	Professional		$1,302.20	$1,562.64	$1,927.26
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,547.66 / $1,950.51 / $2,805.97	Facility		$1,547.66	$1,950.51	$2,805.97
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,767.00 / $1,992.84 / $3,202.34	Professional		$1,767.00	$1,992.84	$3,202.34
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,366.26 / $1,877.14 / $4,462.00	Facility		$1,366.26	$1,877.14	$4,462.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,366.26 / $1,877.14 / $4,462.00	Professional		$1,366.26	$1,877.14	$4,462.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,547.00 / $3,130.00 / $5,226.00	Facility		$1,547.00	$3,130.00	$5,226.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,239.29 / $1,971.18 / $3,078.40	Professional		$1,239.29	$1,971.18	$3,078.40